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General NPI Number Information
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NPI Number | 1407114911
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Entity Type | Individual
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Provider Name | JAMES DANIEL GUERRIERE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 24 FALCON CREST LN
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City | CLYDE
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State | NC
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Zip | 28721-6620
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Country | US
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Telephone | 828-452-8878
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Fax | 828-452-8879
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Provider Business Mailing Address
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Address Line | 24 FALCON CREST LN
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City | CLYDE
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State | NC
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Zip | 28721-6620
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Country | US
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Telephone | 828-452-8878
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Fax | 828-452-8879
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L3745R
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2015-01492
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License Number State | NC
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